10 HARDY STREET UNIT 5 - CLAIM NOTICE Samuel i . McCormack Co.,, Inc.
Insurance Adjusters and Appraisers
Samuel f.McCormack Co.,Inc.
ADJO#OD AND APPRAISERS
August 16, 2021
Salem City Hall
Building Inspector
93 Washington Street
Salem. MA 01970
RE ASSURED: Lion Properties LLC
LOSS LOCATION: 10 Hardy Street, Unit 5, Salem, MA 01970
POLICY NO: BP21046041
TYPE OF LOSS: Property damage
DATE OF LOSS: 08/13/2021
OUR FILE NO: 21-02226
To Wham It May Concern:
Claim has been made involving loss, damage or destruction of the above-captioned property, which
may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to
be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 31B is
appropriate, please direct it to the attention of this writer and include a reference to the above-
captioned insured, location, policy number, date of loss and claim or file number.
Thank you for your anticipated cooperation.
Very truly yours,
Peter Venie
Adjuster
pv@mccormackadjuster.com
cc: Board of Health
Fire Department
AUG 20 AM10:56
AUG
42 Holbrook Avenue,Braintree,MA 021841-800-972-5399(781)843-1222 Fax(781)849-8191
125 Waterhouse Road,Bourne,MA 02532(508)403-2600 Fax(508)403-2602
www.mcconnackadjuster.com